Healthcare Provider Details

I. General information

NPI: 1912293127
Provider Name (Legal Business Name): DR. FRANCOIS MERLE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 12/06/2020
Certification Date: 12/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PROSPECT AVE ROOM 2703
HACKENSACK NJ
07601-1915
US

IV. Provider business mailing address

30 PROSPECT AVE ROOM 2703
HACKENSACK NJ
07601-1915
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-2419
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number277736
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA09682700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: